Alicia Bagwell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14043 Issued in TX

Practice address

1313 Ranch Road 620 S Ste 106
Lakeway, TX 78734-6333

Phone

(512) 568-8274

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be Well Chiropractic PLLC

  • Clinic/Center
  • Lakeway, TX
  • NPI 1811644487
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1013501378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 RANCH ROAD 620 S STE 106",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 RANCH ROAD 620 S STE 106",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346333",
            "telephone_number": "512-568-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "ALICIA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humza Shahid Azam, DO
• Alain Richard Babin
• Rosalinda Alfaro Babin
• Rajesh Babu, MD
• Juan Badia
• Reid Bagwell, DC
• Zachary Bailey, DPT
• Carol Elaine Baker, NP-C
• Melissa Baker, APRN, FNP-BC
• Rachael Baker

• Chiropractor in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.